Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Maryanna Gusenkov

Individual provider Nurse Practitioner · NPI 1720439730

Miss. Maryanna Gusenkov is a Nurse Practitioner in Orange, California. Qualified in 2024, 2 years ago. Practices with Regents of the University of Claifornia Univ Neursciences, a 71-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (800) 465-3203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95032261 (CA)

Record details

NPI number1720439730
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2016
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Regents Of The University Of Claifornia Univ Neursciences — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Orange